Organization Name: | SOUTH PENINSULA HOSPITAL, INC. |
NPI Number: | 1093968372 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT F LETSON (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 4300 Bartlett St Homer |
State: | AK US |
Postal Code: | 996037005 |
Phone Number: | 9072358101 |
Fax Number: | 9072350253 |
NPI Enumeration Date: | 10/30/2008 |
NPI Last Update Date: | 10/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 275N00000X |
License Number: | 192072 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Hospital Units |
Taxonomy Classification: | Medicare Defined Swing Bed Unit |
Taxonomy Specialization: | |
Taxonomy Definition: | A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |